Patient Refill Request Form

​​Use this tool to request a patient prescription refill form.

Request for Patient Consultation or Concierge Consultation Service

Use this tool to request a Patient Consultation
Types of Consultations
One-on-One Consultations
Inland Compounding has more than 39 years of experience and 18 specifically in tailoring patient's medications for bio-identical hormone replacement.  Let us help solve your health needs.
Concierge Consultation Service
ICP provides a Concierge Consultation Service on a monthly service basis.  If you would like a consultation "day or night", during business hours only, the fee is $100 per month.  After 5 months of paid consultations, the fee is waived for the next 7 months.
Basic Consultation
If you don't need as much consultation the following rates apply:
  • 10 minute Prescriber referred consult-     FREE
  • 30 minute consult with a Pharmacist-  $  50.00*
  • 60 minute consult with a Pharmacist-  $100.00*
*Patients will be charged $25.00 for each additional 10 minutes.  This applies to all in-person or on-phone consultations.
Phone consultations can be scheduled and fees charged to your credit card.
Call 909..478.3842 to schedule an appointment.  You may also sign up online.  We are always ready to help.
Friends & Family Referral Discount Program

Use this tool to printout a Friends & Family Referral Discount Program Card


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